Healthcare Provider Details

I. General information

NPI: 1134904501
Provider Name (Legal Business Name): KAYCEE HESS APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2023
Last Update Date: 08/25/2023
Certification Date: 08/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 DONAGHEY AVE
CONWAY AR
72035-5001
US

IV. Provider business mailing address

8 WINTHROP RD
MORRILTON AR
72110-4312
US

V. Phone/Fax

Practice location:
  • Phone: 501-450-3136
  • Fax:
Mailing address:
  • Phone: 501-733-9865
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License NumberR101797
License Number StateAR
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number225365
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: